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Organization
DELTA CENTER INC
Active
Organization
DELTA CENTER INC
Active
Other names
DCI MEDICAID GROUP
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LISA TOLBERT (EXECUTIVE DIRECTOR)
(618) 734-2665
Entity
Organization
Contact information
Practice address
1400 COMMERCIAL AVE, CAIRO, IL 62914-1978
(618) 734-2665
(618) 734-1999
Mailing address
1400 COMMERCIAL AVE, CAIRO, IL 62914-1978
(618) 734-2665
(618) 734-1999
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
04045
IL
Other
Enumeration date
07/08/2011
Last updated
07/08/2011
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